Wang Yan-Long, Zhang Hong-Lin, Du Hao, Wang Wei, Gao Hai-Feng, Yu Guang-Hai, Ren Yu
Department of Urology, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, Dalian 116033, Liaoning Province, China.
Center for Reproductive Health, Dalian Maternity Hospital Affiliated of Dalian Medical University, Dalian 116033, Liaoning Province, China.
World J Clin Cases. 2021 Mar 16;9(8):1916-1922. doi: 10.12998/wjcc.v9.i8.1916.
The standard treatment of transitional cell carcinoma of the upper urinary tract consists of radical nephroureterectomy with bladder cuff removal, which can be performed either in open or laparoscopy or robot-assisted laparoscopy. Treatment of chronic renal insufficiency patients with upper urothelial tumor is in a dilemma. Urologists weigh and consider the balance between tumor control and effective renal function preservation. European Association of Urology guidelines recommend that select patients may benefit from endoscopic treatment, but laparoscopic treatment is rarely reported.
In this case report, we describe a case of 79-year-old female diagnosed with urothelial carcinoma of the renal pelvis and adrenal adenoma with chronic renal insufficiency. The patient was treated with retroperitoneal laparoscopic partial resection of the renal pelvis and adrenal adenoma resection simultaneously.
Retroperitoneal laparoscopic partial resection of the renal pelvis is an effective surgical procedure for the treatment of urothelial carcinoma of the renal pelvis.
上尿路移行细胞癌的标准治疗方法是根治性肾输尿管切除术并切除膀胱袖口，该手术可通过开放手术、腹腔镜手术或机器人辅助腹腔镜手术进行。慢性肾功能不全患者合并上尿路上皮肿瘤的治疗处于两难境地。泌尿外科医生权衡并考虑肿瘤控制与有效肾功能保留之间的平衡。欧洲泌尿外科学会指南建议，部分患者可能从内镜治疗中获益，但腹腔镜治疗的报道很少。
在本病例报告中，我们描述了一名79岁女性，诊断为肾盂尿路上皮癌和肾上腺腺瘤合并慢性肾功能不全。该患者接受了腹膜后腹腔镜肾盂部分切除术并同时切除肾上腺腺瘤。
腹膜后腹腔镜肾盂部分切除术是治疗肾盂尿路上皮癌的一种有效手术方法。
